Tobacco, Vape, Marijuana, CBD Flashcards
What is the structure of a vape?
Liquid/dry material that is heated by a battery powered device into a vapor that is inhaled
What are the options for the liquid that can be put into vapes?
Flavors
Nicotine
Marijuana
Is vaping safe in younger adults? Why or why not?
NO
- brain is still developing
- burns possible
- Increased risk of smoking cigs
Vaping is not safe in teens/young adults because their brain is still developing. What may cause damage to the developing brain?
Toxic metals/substances in the vape
– nicotine/marijuana etc.
Adolescents are more vulnerable to drug initiation/addiction because what part of their brain is not yet developed?
Pre-frontal cortex
What does the pre-frontal cortex control?
Executive functioning
With Adolescents, the pre-frontal cortex is not yet developed fully. What types of behaviors does that cause to occur usually?
Impulsive
Risk-taking
Possible drug initiation/vaping
Have lung injuries occurred with vaping even though it is safer than cigs?
YES
= lung illness/injury have occurred
What substance that was in some vapes caused serious lung illnesses/injuries?
Vitamin E acetate that was used to thicken THC oil
What is Vitamin E Acetate used for?
Thicken THC oil
When is Tobacco (nicotine) often used?
Major component of cigs
– Can help with smoking cessation
What is the fatal dose of nicotine?
60 mg
Tolerance and dependence can develop to nicotine, especially when?
Smoking more than 10-15 cigs per day
What does Nicotine impair in the brain?
Neuroplasticity
= ability of brain to change
What does Nicotine impair in the brain, and what is that?
Neuroplasticity
= Ability of brain to change
What alterations does the Neuroplasticity that occurs with Nicotine use result in?
Alterations in genes, cells, signaling, myelin and synaptic pruning
What is the mind altering component (cannabinoid) of Marijuana?
THC
Marijuana is from the Cannabis plant. Compounds that are found within it are called?
Cannabinoids
What are the symptoms of taking Marijuana?
Altered senses and time perception
Change in mood and body mobility
Decreased problem solving and memory
At HIGH doses, what can Marijuana cause to occur?
Hallucinations
Delusions
Psychosis
Describe the cascade of how THC is metabolized
THC
- -> 11-OH-THC
- -> 11-COOH-THC (inactive)
What receptors and where are activated by Cannabinoids like THC?
CB1 = CNS CB2 = immune and hematopoietic cells
How long can Marijuana be detected in the urine?
3-77 days (usually < 30)
How long can Marijuana be detected in the blood/saliva and hair?
Blood/Saliva = < 7 days Hair = < 90 days
What is a synthetic delta 9 THC?
Dronabinol
What is a synthetic delta 9 THC?
Dronabinol
What receptor does Dronabinol activate?
CB1 in the CNS
What are the 4 general effects of Dronabinol?
Analgesia
Increased appetite
Muscle relaxation
Psych sx
What psych symptoms can be seen with Dronabinol use?
Laughter
Increased sensation
Somatic = floating/sinking feeling
When is Dronabinol used?
Anorexia in AIDs patients
Chemo-induced N/V
Obstructive sleep apnea
When is Dronabinol used?
Anorexia in AIDs patients
Chemo-induced N/V
Obstructive sleep apnea
What is a THC capsule?
Nabilone
What is Nabilone?
THC capsul
What is Nabilone used for?
Chemo-induced N/V
What has Cannabis been efficacious at treating?
Chronic (neuropathic) pain Increasing appetite N/V Anxiety, PTSD Multiple Sclerosis
What type of pain can Cannabis treat?
Chronic (neuropathic) pain
CBD stands for?
Cannabidiol
What is CBD?
Naturally occurring (-) - CBD enantiomer
CBD is given orally and has extensive first pass metabolism in the?
Liver
– 7 CYPs
Where does CBD rapidly accumulate?
Adipose tissue
What does CBD NOT produce that THC does?
NO Psychoactive effects
– no potential for abuse
What differentiates CBD from THC?
NO psychoactive effects
NO potential for abuse
What has CBD proven to be efficacious at treating?
2 rare forms of childhood EPILEPSY
– Lennox-Gastaut and Dravet Syndromes
What is a CBD solution that can treat epilepsy?
Epidiolex
What is Epidiolex?
CBD solution that can treat Epilepsy
– Lennox-Gastaut and Dravet Syndromes